Upload
others
View
7
Download
0
Embed Size (px)
Citation preview
Module 4: Total Rewards
16% PHR (36 questions) 12% SPHR (27 questions)
4-1© SHRM
Compensation Legislation
4-2© SHRM
Fair Labor Standards Act (Wage and Hour Law)
• Covers most private-sector employers and governmental agencies.
• If state laws are more generous, they take precedence.
• Any employee covered by the FLSA may initiate a complaint.
• Under FLSA, an employer has no obligation to independent contractors.
4-3© SHRM
Which of the following factors would indicate independent contractor status?A. Opportunity for profit and lossB. Regular oral and written reports presented to a
managerC. Right to end relationship with principals at any
time without incurring liabilityD. Services provided to a single firm
Answer: A4-4© SHRM
IRS Independent Contractor Test
© SHRM 4-5
Exempt and Nonexempt Employees
Type of Employee Importance:Exempt Excluded from overtime pay
requirements of the law.Nonexempt Are not excluded and are entitled to
overtime. Overtime is guaranteed to employees with a quoted salary of less than $23,660 per year or $455 per week.
4-6© SHRM
FLSA Exemptions
4-7© SHRM
Primary Duty Issue
• A primary duty is the main or most important duty and is an important part of exemption.
• No particular percentage of exempt duties is required under federal law.
• However, the lower the percentage, the greater the legal risk if challenged.
4-8© SHRM
Executive Exemption
4-9© SHRM
An employee must:
Administrative Exemption
• Requires performance of office or nonmanual work directly related to the management or general business operations of the employer or the employer’s customers.
• Includes the exercise of discretion and independent judgment related to “matters of significance.”
4-10© SHRM
Professional Exemptions
• Learned professionals– Requires advanced knowledge in a field of science or
learning that is acquired by prolonged instruction.– Work is intellectual in nature and requires exercise of
discretion and judgment.
• Creative professionals– Must meet minimum salary requirements.– Perform work that requires invention, imagination,
originality, or talent. – Perform in a recognized field of creative or artistic
endeavor.4-11© SHRM
Highly Compensated Exemption
A highly compensated employee must:• Make an annual salary of $100,000 or more
that includes at least $455 per week paid on a salary or fee basis.
• Perform one of the duties of an exempt executive, administrative, or professional employee.
4-12© SHRM
Computer Employees
• Must meet the salary minimum with a salary of $455 per week or $27.63 per hour.
• Employee’s pay cannot be subject to deductions inconsistent with the salary basis requirement.
• Primary duties must fall into one of four categories.
4-13© SHRM
Outside Sales
An employee must:• Have a primary duty involving making
sales or obtaining orders and contracts.• Be customarily and regularly engaged away
from the employer’s place of business.
Outside sales employees are not subject to the minimum salary requirements of other exemptions.
4-14© SHRM
Improper Deductions
• Employers who make improper deductions will lose the exemption if they did not intend to pay on a salary basis.
• Example: An exempt employee is normally not subject to deductions for illness in less than full-day increments. (An FMLA exception may occur.)
4-15© SHRM
Safe Harbor
A “safe harbor” exists if:• The employer has a clearly communicated
policy prohibiting improper pay deductions.
• Employees are reimbursed for any improper deductions.
• The company makes a good-faith effort to comply in the future.
4-16© SHRM
FLSA Basic Overtime Provisions
• Sets rate of overtime pay (1.5 times regular pay after 40 hours worked).
• Requires overtime on time worked, not time compensated.
• Sets workweek as any fixed, recurring period of 168 hours (7 days 24 hours).
4-17© SHRM
An employer pays an employee a $40 attendance bonus for working a full 40-hour workweek. If the worker works 45 hours during that week, what will the employee’s gross paycheck be if her hourly rate is $10?A. $495.00B. $509.50C. $515.00D. $517.25Answer: D To calculate the total pay for the week, you must add the bonus to the hours worked at base pay (45 $10/hour = 450 + $40 bonus = $490). To get the average straight time hourly earnings (ASTHE), the $490 is divided by the total hours worked, 45, to yield $10.89. Pay calculation:45 hours base pay ($450) + bonus ($40) = $490.00ASTHE = $490/45 hours = $10.89 Overtime premium = $10.89 0.5 = $5.45 5$ 27.25Total gross pay $517.25
4-18© SHRM
Compensatory Time
• Overtime usually must be paid in cash.
• Public-sector employers may grant compensatory time off.
• Public employees can accumulate “comp” time.
4-19© SHRM
FLSA Child Labor Provisions
Restrict hours and conditions of employment for minors.
Age FLSA Regulations Under age 14
• Prohibited from most nonfarm work • May be employed by parents • Certain jobs permitted (e.g., actors, newspaper
carriers) Ages 14-15
• During school hours: 3 hours/day, 18 hours/week• During school vacations: 8 hours/day, 40
hours/week • Hours restricted
Ages 16-17
• Prohibited from hazardous jobs • No other restrictions
4-20© SHRM
Minimum Wage Provisions
4-21© SHRM
Portal-to-Portal Act
• Amends FLSA and defines general rules for hours worked.
• Provides guidelines on:– On-call/standby time.– Preparatory/concluding activities.– Waiting time.– Meals and breaks.– Travel time.– Training time.
4-22© SHRM
Equal Pay Act (EPA)
• Mandates equal pay for equal work.• Defines equal work based on:
Skills ResponsibilityWorking conditions
Effort
4-23© SHRM
Which of the following is true under the Equal Pay Act?A. Seniority systems cannot result in pay disparity.B. Companies should provide all employees with the
same working conditions.C. Employees doing equal work should receive the
same pay.D. Jobs filled primarily by women should have the
same salary as similar jobs filled by men.
Answer: C4-24© SHRM
A Total Rewards System
Total compensation
+Direct compensation
Indirect compensation
Pay systems Benefit and recognition programs
4-25© SHRM
Objectives of a Total Rewards System
• Aligned with mission and strategy
• Compatible with corporate culture
• Appropriate for the workforce
• Externally equitable• Internally equitable
4-26© SHRM
External Equity
• Compares an organization to other organizations that share its industry, occupation, and location.
• Organizations may decide to:
Lag Match Lead
4-27© SHRM
Internal Equity
4-28© SHRM
Job Evaluation
• Determines the relative worth of each job by establishing a hierarchy.
• Follows job analysis, which focuses on job descriptions and specifications.
4-29© SHRM
Job Evaluation Methods
Nonquantitative Methods
Quantitative Methods
Job-to-job comparison
Job ranking
Factor comparison
Job-to-predetermined-standard comparison
Job classification
Point-factor method
4-30© SHRM
Nonquantitative (Whole-Job) Evaluation
• Establishes a relative order of jobs. • Does not assign numeric values.
Jobranking
Pairedcomparison
Jobclassification
Job-to-jobcomparison
Job-to-predetermined- standard comparison
4-31© SHRM
Quantitative Evaluation
• Uses a scaling system to evaluate the value of one job as compared to another.
• Provides a score.
Point-factormethod
Factor comparisonmethod
Less complex, most commonly used
Most complex, used infrequently
4-32© SHRM
Point-Factor Method
• Each job receives a total point value, and relative worth can be compared.
• Examples: Guide Chart-Profile (Hay Plan) and the U.S. government Factor Evaluation System (FES).
• Points often determine pay grade assignment.
4-33© SHRM
Market-Based Evaluation
• Not a true job evaluation system; can be used to develop a job-worth hierarchy.
• Prices jobs in the labor market in which a company competes.
• Uses prevailing rates as the relative “worth” of the jobs.
$$$
4-34© SHRM
Pay Surveys
4-35© SHRM
Data Analysis
• Salary data may need to be aged and/or leveled.– Aging uses movement in market rates to
adjust outdated salary data.– Leveling adjusts salaries when surveyed jobs
are similar but not identical to jobs in the organization.
4-36© SHRM
Sorting Salary Data
Frequency distributions and tables sort salary data.
Salaries Number of Incumbents
$55,000$60,000$65,000$70,000$75,000
21251
•
Frequency distribution−
Lists the grouped data, from lowest to highest.
•
Frequency table−
Shows the number of incumbents who receive a particular salary.
4-37© SHRM
Salary Data: Measures of Central Tendency
Average gives equal weight to every salary.
Weighted average considers the number of people who receive each salary.
Median is the middle number in the range.
Mode is the most frequently occurring wage. Weighted Average = $65,909
Salaries # of Incumbents
Total Salary
$55,000$60,000$65,000$70,000$75,000
21251
$110,00060,000
130,000350,000
75,000
Totals 11 $725,000
4-38© SHRM
Quartiles and Percentiles
• Show how groups relate to each other.• Show if an organization leads, lags, or
matches the job market.
4-39© SHRM
Creating a Pay Structure
4-40© SHRM
Compa-Ratios
• Divide the pay level of an employee by the midpoint of the range.
• Given a range of $6 to $10 an hour, a midpoint of $8, and a salary of $6 an hour, the compa-ratio is:
$6 ÷ $8 = .75 or 75%.• A compa-ratio below 1.0 means wages are below
the midpoint; a compa-ratio greater than 1.0 means wages exceed the midpoint.
4-41© SHRM
An employee earns $9 an hour, and the pay range is $8 to $12. What is the compa-ratio?A. 66%B. 80%C. 90%D. 111%
Answer: CThe midpoint is $10. Divide the pay level by the midpoint ($9 ÷ $10 = .9 or 90%).
4-42© SHRM
Broadbanding
• Combines several salary grades or job classifications.
4-43© SHRM
Broadbanding Advantages and Disadvantages
Advantages Disadvantages• Provides wider ranges.• Reduces the number of job
grades.• Provides more autonomy
to line managers.• Enhances employee
mobility.
• Lacks a salary control feature.
• Difficult to maintain perception of equity.
• Reduces the opportunity for promotion.
• Can lead to divergence from the market.
4-44© SHRM
Base-Pay Systems
• Develop a pay determination system that helps attract, retain, and motivate employees.
• Employees receive base pay in the form of a salary or an hourly wage.
4-45© SHRM
Single- or Flat-Rate System
• Employees receive the same rate of pay, regardless of performance or seniority.
• Typically used for elected jobs in the public sector or union hourly positions.
• Generally corresponds to survey data for the job.
• There may be a training wage in a flat-rate job.
4-46© SHRM
Time-Based Step-Rate System
• Rate is based on longevity.• Pay increases occur on a
predetermined schedule.– Automatic step-rate– Step-rate with variability-
based performance– Combination step-rate and
performance
12
3
45
4-47© SHRM
Performance-Based/ Merit Pay System
• Individual performance is the basis for pay.• Increases are tied to performance and job
mastery.• Employers must be able to defend
performance appraisal methods and differences in salary increases.
4-48© SHRM
Productivity-Based System
Pay is determined by employee’s output.•
Straight piece-rate−
Base wage rate plus additional compensation for output
•
Differential piece-rate−
One piece rate up to the standard and a higher rate after the standard is exceeded
•
Works best in assembly and manufacturing situations.
4-49© SHRM
Person-Based System
• Employee’s characteristics determine pay.• Superior knowledge or skill mastery is rewarded.
– Knowledge-based (scientists whose pay is based on knowledge in a field or domain)
– Skill-based (machine operators cross-trained on a variety of production equipment)
– Competency-based (professionals who excel at defined competencies)
4-50© SHRM
A window manufacturer guarantees its installers a base wage plus an extra $25 for each job completed to specifications. The employer is using a
A. merit pay system.B. productivity-based system.C. competency-based system.D. flat-rate system.
Answer: B 4-51© SHRM
Pay Variations
• Green-circle rates– Rates below the range minimum
•
Red-circle rates−
Rates above the range maximum
•
Pay compression−
Small differences in pay regardless of experience, skills, or seniority
4-52© SHRM
Pay Adjustments
4-53© SHRM
Time-Based Differential Pay
• Based on when an employee works.• Except for overtime, FLSA does not require
differential pay.
4-54© SHRM
Geographic Differential Pay
Differentials for foreign pay
Differentials for labor costs
Differentials to attract workers to certain locations
4-55© SHRM
Incentive Pay
• Paying for performance beyond expectations.
• Usually involves a significant amount of employee’s pay.
•
May be a factor when determining overtime pay.
•
Motivates employees to perform at higher levels.
Research tax ramifications before implementing any incentive pay plan.
4-56© SHRM
Individual Incentive Plans
• Improve individual performance.• Kept separate from base pay.
4-57© SHRM
Group Incentive Plans
• Gainsharing– Organization shares a portion of the gains
realized from group effort.• Scanlon, Rucker, and Improshare
• Group performance– Group is rewarded for meeting or exceeding
performance standards.• Each person receives the same amount as a
percentage of pay.
4-58© SHRM
Organization-Wide Incentive Pay Plans
4-59© SHRM
Stock Ownership Plans
• Encourage employees to share in the success of the firm.
• Stock may be purchased or earned.• Company may facilitate stock purchase through
payroll contributions.• Company may structure stock purchase as a form
of ERISA-governed qualified retirement plan (ESOP).– Nonleveraged ESOPs– Leveraged ESOPs
SPHR only
4-60© SHRM
Executive IncentivesSPHR only
4-61© SHRM
Direct Sales Compensation
Straight commission
Salary pluscommission
Straight salary
There is a long sales cycle.
More time is spent on service than sales.
Goal is to increase volume and control costs.
Use when:
Company needs to reward behaviors that support strategy.
Plan needs to be adaptable.
4-62© SHRM
Compensation for Professionals
4-63© SHRM
Controlling Costs
• Setting ranges– Setting upper and lower compensation bounds.– Using compa-ratios to evaluate if policies are
being implemented appropriately.• Budgeting
– Top-down approach is best at controlling costs.• Auditing
– Monitoring of expenditures.
4-64© SHRM
Indirect Compensation
• Designed to:– Reward continued employment.– Retain good employees.– Improve productivity, work quality, and
competitiveness.– Protect employees’ physical and financial
well-being.
• Must be affordable for employers and attractive to employees.
4-65© SHRM
Benefit Needs Assessment
Review total rewardsphilosophy.
Analyze workforcedemographics.
Analyze benefits designand utilization data.
Conduct gap analysis.
4-66© SHRM
The purpose of a gap analysis is to
A. determine which employees are underinsured.B. revise benefits that are not meeting employee or
organizational needs.C. eliminate benefits that are the most costly.D. ensure that all employees receive the same
benefits.
Answer: B
4-67© SHRM
Employee Retirement Income Security Act (ERISA)
• Establishes minimum standards for benefit plans.• Plans must conform to the Internal Revenue
Code’s requirements to receive tax advantages.• Sets up the Pension Benefit Guaranty
Corporation (PBGC).– Plans or their sponsors pay premiums to the PBGC.– PBGC guarantees payment of vested benefits up to a
maximum limit to employees covered by pension plans.
4-68© SHRM
Fiduciary Responsibility
According to ERISA:• Employer must follow the prudent person rule.
– Cannot take more risks than a reasonably knowledgeable, prudent investor would under similar circumstances.
• Plan assets must be segregated from other company assets.– Employer may not misuse funds set aside to provide
benefits.
• Employer must follow minimum funding standards that apply to retirement benefit plans.
SPHR only
4-69© SHRM
ERISA Rules
© SHRM 4-70
Retirement Equity Act (REA)
• Provides legal protections for spousal beneficiaries of retirement plan participants.
• Requires written spousal consent for:– Changes in retirement plan distribution
elections.– Changes in spousal beneficiary designations.– In-service withdrawals.
4-71© SHRM
Consolidated Omnibus Budget Reconciliation Act (COBRA)
• Provides continuous group medical coverage after a qualifying event.
• Type of event determines the length of coverage, generally 18 to 36 months.
• Employer can charge actual cost plus a 2% administrative fee.
4-72© SHRM
According to COBRA, a company with at least 20 employees must offerA. health insurance to its employees. B. continued medical coverage to employees
terminated for gross misconduct.C. COBRA benefits to workers if the company
terminates its health plan.D. COBRA benefits to spouses of deceased workers.
Answer: D4-73© SHRM
COBRA Regulations
• Update general and qualifying event notices.
• Provide an initial notice within 90 days of the date an employee/spouse is covered under the plan and mail the summary plan description to the residence.
• Establish reasonable notification procedures and communicate them to all employees.
•
Provide a notice of unavailability of continuation of coverage within 14 days of the date you are informed of the qualifying event.
•
Notify individuals whose coverage ends before the maximum continuous coverage period allowed.
4-74© SHRM
Health Insurance Portability and Accountability Act (HIPAA)
• Limits exclusions for preexisting conditions.• Gives workers leaving a job with employer-
sponsored health coverage the right to purchase coverage on their own.
• Guarantees renewability as long as premiums are paid.
• Makes health coverage portable.
Key provisions:
4-75© SHRM
HIPAA Privacy Rule
• Permits covered entities to use or disclose protected health information for:
– Treatment, payment, and health-care operations.
• A written authorization from the patient is required if outside of these purposes.
• Organizations must:– Establish systems for tracking protected health information.– Designate a privacy officer and complaint process.– Ensure that individuals cannot waive their rights.– Establish a system of consistently enforced sanctions.– Keep records for six years.– Establish written contracts with third parties.
4-76© SHRM
Older Worker’s Benefit Protection Act (OWBPA)
• Prohibits older workers from waiving their ADEA rights unless they are given 21 days to consider the agreement and consult an attorney (45 days for group terminations).
• Employees have seven days to revoke the agreement after signing.
• Release must reference age discrimination claims under ADEA.
4-77© SHRM
Family and Medical Leave Act (FMLA)
4-78© SHRM
Family and Medical Leave Act (FMLA)
• Employer has the option to require the employee to take unpaid FMLA leave concurrent with any relevant paid leave.
• Employer must continue the employee’s health benefits while the employee is on approved FMLA leave.
• Employees are required to pay their portion of the cost of benefits.
4-79© SHRM
According to the FMLA, which of the following is true?A. Employers must pay all health benefit costs for
employees on leave. B. Employee must return to the same or a similar
job as the employee held before the leave.C. A week containing a holiday does not count as a
full week of FMLA leave. D. Employees are eligible for FMLA leave after six
months.
Answer: B4-80© SHRM
Uniformed Services Employment and Reemployment Rights Act (USERRA)
• Protects the employment, reemployment, or retention rights of persons who serve in the uniformed services.– Requires employees to provide oral or written notice
of the need for leave (30 days if feasible).– Allows for five years of leave.– Gives employees on leave the same seniority-based
benefits they would have received if they had not taken leave.
4-81© SHRM
Uniformed Services Employment and Reemployment Rights Act (USERRA)
•
Requires that employer health plans permit employees on leave to continue coverage at their expense for up to 24 months. (A 2% charge for administrative costs can be added.)
•
Requires that leave not create a break in service for pension plan purposes.
•
If state laws provide protection beyond USERRA, employees are entitled to the maximum protection.
4-82© SHRM
According to USERRA, employees called up for active duty are entitled to
A. higher limits for salary deferral contributions.B. credited service for retirement plan purposes.C. lower copayments and deductibles for continued
family medical benefits.D. an early vesting schedule for retirement benefits.
Answer: B
4-83© SHRM
Pension Protection Act
© SHRM 4-84
Economic Growth and Tax Relief Reconciliation Act (EGTRRA)
• Adjusts minimum vesting schedules for employer matching contributions to defined contribution plans.– Three-year cliff vesting– Six-year graded vesting
(20% after two years and 20% per year thereafter)
4-85© SHRM
Economic Growth and Tax Relief Reconciliation Act (EGTRRA)
• Sets permissible compensation limits— Code Section 401(a)(17).
• Sets limits on annual pensions—Code Section 415(b)(1)(A).
• Permits catch-up contributions for employees age 50 and older.
• Modifies distribution and rollover rules.
4-86© SHRM
Sarbanes-Oxley Act (SOX)
• Enacted in response to Enron and other corporate scandals.
• Requires administrators to notify plan participants of blackout periods for 401(k) or defined contribution plans.
• Prohibits insider trading during the blackout period.
4-87© SHRM
Blackout Notice Requirements
• Must be done in writing 30 days in advance and must contain:– Reasons for blackout.– Identification of affected rights and
investments.– Expected beginning date and length of
blackout.– Statement that individuals should evaluate the
appropriateness of their current investment decisions.
4-88© SHRM
Whistleblower Provisions
• Protects employees who:– Report conduct that they “reasonably believe”
violates federal securities laws.– File, testify in, or assist in a proceeding related
to securities fraud.• Employer cannot take adverse action or
discriminate against employees for taking part in protected activities.
4-89© SHRM
Tax and Accounting Treatment
• FASB decides how financial firms should report financial information to shareholders.– Required companies to treat employee stock options
as an expense on financial statements beginning in 2005.
• IRS implements and interprets tax legislation:– Revenue rulings.– Private-letter rulings.
4-90© SHRM
Benefits Required by Statute
• Social Security/Medicare• Unemployment insurance• Workers’ compensation• COBRA• FMLA
4-91© SHRM
Social Security
• Provides:– Retirement income.– Disability, death, and
survivor’s benefits.
• To qualify:– People must work 40
quarters or ten years.
• Calculated as a set percentage of salary:– Yearly maximum
limit– Deducted from
employees’ pay– People who work and
receive payments must still pay in.
4-92© SHRM
Social Security Benefits
• Retirement income:– Depends on individual’s average earnings.– Pays reduced benefits at age 62; full benefits are indexed to
year of birth.
• Disability benefits:– Are paid when workers cannot work for at least five
months.– Are paid when workers have an impairment that is
expected to continue for 12 months or result in death.– Start after a five-month waiting period.
• Death and survivor’s benefits
4-93© SHRM
Medicare
• Not dependent on income or ability to pay.
• Employee and employer pay a percentage of salary; there is no yearly maximum.
• All individuals are eligible at age 65.
• Employer benefits are primary for employees 65 and older who are working.
4-94© SHRM
Unemployment Insurance
• Mandatory benefit funded primarily by employers and administered by states.
• Eligibility in most states includes:– Being available and actively seeking work.– Not refusing suitable employment.– Not having left job voluntarily.– Not being unemployed because of labor dispute.– Not being terminated for misconduct.– Working a minimum number of weeks.
• Duration: 26 weeks.4-95© SHRM
Workers’ Compensation
• State insurance paid by the employer.• Protects workers in case of a work-related
injury or disease.• Experience-rated; employers who have a
high number of claims pay more.• Employers assume all costs, regardless of
who is to blame for an accident.
4-96© SHRM
Benefits of Qualified Deferred Compensation Plans
4-97© SHRM
Characteristics of Qualified Plans
• Under ERISA, plans must:– Be in writing and be communicated to
employees.– Be established for exclusive benefit of
employees/beneficiaries.– Satisfy rules concerning eligibility, vesting, and
funding.– Not favor officers, shareholders, or HCEs.
4-98© SHRM
Defined Benefit Plans
•
Benefit amount is based on a formula.
•
Employer funds the plan and bears the risk.
•
Insured by the PBGC.
Flat-dollar formula
Career-averageformula
Final-pay formula
Cash balance plan
•
Benefit amount is based on a formula.
•
Employer funds the plan and bears the risk.
•
Insured by the PBGC.
Flat-dollar formula
Career-averageformula
Final-payformula
Cash balance plan
4-99© SHRM
Defined Contribution Plans
•
Benefit amount is based on a formula.
•
Employer funds the plan and bears the risk.
•
Insured by the PBGC.
Flat-dollar formula
Career-averageformula
Final-pay formula
Cash balance plan
•
Employees and/or employers pay a specific amount per person into the fund.
•
Benefits are determined by fund performance.
Profit-sharing plans
Money purchase plans
ESOPs
401(k) plans403(b) plans
4-100© SHRM
529 Plans
• Referred to as qualified tuition programs (QTPs).
• Federal tax-free way to save money for college.– College savings plan
• Establishes an account for a future student.• May be used at any college.
– Prepaid tuition plan• Locks in future tuition at current price.• Used at participating in-state public colleges and
universities.
4-101© SHRM
Nonqualified Deferred Compensation Plans
• Provide additional benefits to key executives. • Do not qualify for favorable treatment under
ERISA.• Employees defer reporting income; not subject
to the limits placed on qualified plans.• Employer contributions are not deductible.• Funds are not protected by ERISA or PBGC.
Examples: Rabbi trusts, top hat plans, and excess deferral plans
4-102© SHRM
Qualified Domestic Relations Orders (QDROs)
• Create or recognize the right of an alternate payee to receive all or a portion of pension benefits.
• Orders must relate to child support, alimony, or marital property rights and must be made under state domestic relations law.
4-103© SHRM
Health-Care Plans
• Indemnity or fee-for- service plans (offered less frequently).– Full-choice plans.– Employees can go to any
qualified physician.– Fees are generated when
services are used.
•
Managed care plans (offered most frequently).−
Prepaid, capitated health-care plans.
−
Members enroll and pay a set monthly or annual fee.
−
Members must use HMO physicians and facilities to get low fees; no need to submit claims.
4-104© SHRM
Other Health-Care Options
• Dental plans• Vision care plans• Prescription drug
plans• Alternative health
care
4-105© SHRM
Health-Care Funding
Fully insured
Fully self- insured
Employer pays premiums to a third-party insurance carrier that bears the risk.
Employer purchases specific or aggregate stop- loss coverage to limit risk.
Employer assumes the role of the insurance company and bears the risk.
No “stop-loss.”
Partially self-insured
4-106© SHRM
Consumer-Directed Health Care
Objective: To help employers control costs while allowing employees to make decisions about their health care.
Health reimbursement
accounts
Health savings accounts
Combine a high- deductible medical plan with individual HRAs
Tax-sheltered savings accounts used to pay for medical expenses
4-107© SHRM
Health Reimbursement Account (HRA)
• Employer purchases a high-deductible medical plan.
• Plan reimburses employees for eligible and substantiated health-care expenses.
• Employees may NOT contribute on any pretax basis.
• Subject to COBRA continuation. • If self-funded, must meet nondiscrimination
requirements and not favor HCEs.
4-108© SHRM
Health Savings Account (HSA)
• Individuals are covered by a high-deductible health plan.
• Employer contributions are deductible; employee contributions are excluded from income when done through a Section 125 plan.
•
Earnings grow tax-free, and distributions for qualified medical expenses are tax-free.
•
Unused funds can be carried over from year to year, are portable, and can be used into retirement.
4-109© SHRM
Section 125 Plans
• Premium-only plans– Employees receive favorable tax treatment on benefits
already offered.• Flexible spending accounts
– Pretax dollars are set aside to pay for dependent care or unreimbursed expenses.
– “Use-it-or-lose-it” option amended to contain a grace period of two and one-half months at the end of the plan year.
– Nonprescription drugs or medicines can be reimbursed. • Full cafeteria plans
– Benefit credits are used to purchase benefits.– Unused credits can be cashed out.
4-110© SHRM
An employer pays an FSA medical claim for $500 in March. In April, the employee leaves the company after setting aside only $250. What happens in this situation?
A. The employee must return $250 to the company.B. The employer may withhold $250 from the employee’s
last paycheck.C. The employee is entitled to the reimbursement as paid.D. The employee becomes ineligible for COBRA coverage.
Answer: C
4-111© SHRM
Income Replacement Protection
Employer- provided sick leave
Short-termdisability
Long-termdisability
Pays 100% of pay for a set number of days.
Replaces a portion of lost income.Typically 50% to 70% for up to six months
Begins when short-term coverage expires.
Usually integrated with Social Security.
4-112© SHRM
Life Insurance Protection
• Group-term life insurance– Lump-sum payment
to beneficiaries.• Excess group-term life
insurance– Insurance over
$50,000 is taxed as imputed income.
4-113© SHRM
• Dependent group life insurance– Employees can insure
spouses/dependent children.
• Long-term care insurance– Policies offered through
FSAs or cafeteria plans are not tax-deductible; premiums paid by the employer are taxable to the employee.
Paid Leave
• Paid leave for events:– Holiday pay– Vacation pay– Community service
pay– Leave of absence– Bereavement leave
• Paid-time-off banks– Paid time off is lumped
into one account.
4-114© SHRM
Other Benefits
Prepaid legal insurance
Tuition reimbursement
Transportation assistance
Child andelder care
Benefits
4-115© SHRM
Which of the following items is generally subject to federal taxation?
A. $1,000 reimbursement for a business tripB. $300 per month for parkingC. $20 gift from a vendorD. $1,500 for a job-related training seminar
Answer: B
4-116© SHRM
International Compensation Considerations
• Economy of the country• Cost of living• General pay levels• Traditions and values for
jobs• Difficulty of the location• Currency fluctuation• Tax consequences
SPHR only
4-117© SHRM
Expatriate Compensation Approaches
• Negotiation • Balance sheet
– Headquarters-based– Home-country-based
• Pure localization • Higher-of-home-or-host-
country• Lump-sum• Cafeteria
SPHR only
4-118© SHRM
What is the advantage of paying an expatriate an allowance for the difference between home-country costs and assignment costs?A. It’s equitable regardless of country of origin.B. It simplifies administration.C. It is more tax-effective for the employee.D. It gives the expatriate a choice.
Answer: A
SPHR only
4-119© SHRM
International Benefit Considerations
• Social security• Health care• Disability• Paid time off• Retirement• Severance• Life insurance
SPHR only
4-120© SHRM
Totalization Agreements
• International social security agreements.
• Eliminate dual social security coverage and taxes for companies and workers.
• Fill gaps in benefit protection for workers.
SPHR only
4-121© SHRM
Evaluating the Total Rewards System
4-122© SHRM
Required Communication
• ERISA requires:– Summaries of the plan description, annual report,
and material modifications.– Filing Form 5500 with the DOL.
• Other required communications include:– Continuation of benefits’ notice.– Explanation of stock options (SEC regulations).– Posting of all required state employment laws.
4-123© SHRM